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Blue Shield of California jobs

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract requirements. You

Blue Shield Of California  27 days ago
Blue Shield of California jobs

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency, process improvement,

Blue Shield Of California  27 days ago
Blue Shield of California jobs

Your Role The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) – Medi-Cal Care Management line of business. The Manager, Care Management will report to the

Blue Shield Of California  26 days ago
Golden 1 Credit Union jobs

Job Title: Director - Enterprise Risk Management Status: Exempt Reports to: VP - Enterprise Risk Officer Department: Risk Management Job Code: 11811 Pay Range: $186,700.00 - $195,000.00 Annually WHO WE ARE: Golden 1 Credit Union is among the

Golden 1 Credit Union  23 days ago
River City Bank jobs

Description We are seeking a dynamic and knowledgeable Treasury Management Sales Officer to join our team. This role offers an exciting opportunity to leverage your expertise in treasury management products and payments to drive business growth, strengthen client

River City Bank  21 days ago
Luster National jobs

About the Position We’re seeking a Performance Management Lead to support large, complex rail and transit capital programs, as well as other heavy-civil infrastructure efforts including highways, bridges, and airport projects delivered through both traditional and alternative

Luster National  20 days ago
Cardinal Health jobs

Shift Details: Monday-Friday 6:30am – 3:00pm. *Required Overtime will be mandatory depending on company needs. Pay Rate: $22.70 USD Hourly Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support

Cardinal Health  19 days ago
Pair Team jobs

About Pair Team At Pair Team, were an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social -

Pair Team  18 days ago
Blue Shield of California jobs

Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral Health

Blue Shield Of California  17 days ago
Sacramento County jobs

Posting number: 28138-G Department: Health Services Job classification: Medical Case Management Nurse Posting type: Open Categories: Health Services, Mental Health, Public Health, Social Services, Management, Nursing, Miscellaneous, Nutrition, Health Education, Health Sciences, Medical/Dental Summary Under general supervision, performs

Sacramento County  17 days ago
Golden 1 Credit Union jobs

TITLE: MEMBER CARE ASSET MANAGEMENT SPECIALIST STATUS: NON-EXEMPT REPORTS TO: SUP - MEMBER CARE SUPPORT AND ASSET MANAGEMENT DEPARTMENT: MEMBER CARE JOB CODE: 11736 PAY RANGE: $25.40 - $26.50 HOURLY GENERAL DESCRIPTION: Performs as an experienced, well developed,

Golden 1 Credit Union  16 days ago
Turner & Townsend jobs

Company Description Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. Working with our clients across real estate, infrastructure, energy and natural resources, we transform together delivering

Turner & Townsend  14 days ago
AECOM jobs

Company Description Work with Us. Change the World. At AECOM, were delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and

AECOM  12 days ago
FirstEnergy jobs

Supervisor, Work Management FirstEnergy at a Glance We are a forward-thinking electric utility powered by a diverse team of employees committed to making customers’ lives brighter, the environment better and our communities stronger. FirstEnergy (NYSE: FE) is

FirstEnergy  12 days ago
Sevita jobs

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people live well. Since 1974, we’ve supported individuals with intellectual and developmental disabilities to live more independently

Sevita  11 days ago
Stantec jobs

Your Opportunity The Project Management & Commercial Lead (PMCL) drives consistent, best-in-class project delivery by developing the Project Management (PM) community and ensuring effective implementation of Stantec’s project management practices across their assigned PM Team. Reporting to the Senior

Stantec  10 days ago
Sherwin-Williams jobs

The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you for a Store Management role in 18-24 months. With Sherwin-Williams’ promote-from-within philosophy, you will have the opportunity to progress into an Assistant

Sherwin-Williams  9 days ago
Cardinal Health jobs

What Operations Management (at-Home Solutions) contributes to Cardinal Health Cardinal Healths at-Home Solutions distribution business is looking for a Director of Warehouse Operations Management to lead and support the day-to-day operations for our newest distribution center located in

Cardinal Health  9 days ago
Sanford Health jobs

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Work Shift:8 Hours - Day Shifts (United

Sanford Health  7 days ago
AECOM jobs

Company Description Work with Us. Change the World. At AECOM, were delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and

AECOM  7 days ago

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